{"id":192,"date":"2021-04-21T08:19:06","date_gmt":"2021-04-21T08:19:06","guid":{"rendered":"http:\/\/drambarishpadhee.com\/blog\/?p=192"},"modified":"2021-04-24T06:50:06","modified_gmt":"2021-04-24T06:50:06","slug":"osteogenic-sarcoma-amputation-vs-limb-preserving-surgery","status":"publish","type":"post","link":"https:\/\/drambarishpadhee.com\/blog\/osteogenic-sarcoma-amputation-vs-limb-preserving-surgery\/","title":{"rendered":"Osteogenic Sarcoma : Amputation vs Limb preserving surgery"},"content":{"rendered":"\n

Young girl aged nine years , presented with tender lower end of right femur : 4 months duration. Swelling observed since 15 days . <\/p>\n\n\n\n

Clinical possibilities <\/strong><\/p>\n\n\n\n

  1. Osteomyelitis <\/li>
  2. Osteogenic Sarcoma <\/li><\/ol>\n\n\n\n

    Preoperative Imaging<\/strong><\/p>\n\n\n\n

    Heterogeneous mass arising from distal metaphysis of the right femur with a soft tissue component <\/p>\n\n\n\n

    Preoperative needle biopsy <\/strong><\/p>\n\n\n\n

    High grade Osteogenic sarcoma  with a chondroblastic  differentiation . <\/p>\n\n\n\n

    PET CT<\/strong><\/p>\n\n\n\n

    FDG avid sclerotic lesion involving distal meta diaphysis of the right femur with parosteal  reaction extending to the soft tissue with hypo dense area within the lesion <\/p>\n\n\n\n

    Size 6.7 cm * 8.9cm * 12.3cm ( AP*T*CC ) SUV max 11.5<\/p>\n\n\n\n

    Joint space uninvolved <\/p>\n\n\n\n

    No skip lesion <\/p>\n\n\n\n

    Retroperitoneal nodes reactive <\/p>\n\n\n\n

    No lung nodules<\/p>\n\n\n\n

    Preoperative Diagnosis <\/strong><\/p>\n\n\n\n

    No metastatic osteogenic sarcoma <\/p>\n\n\n\n

    Treatment <\/strong><\/p>\n\n\n\n

    Preoperative CTRT<\/p>\n\n\n\n

    Surgery <\/p>\n\n\n\n

    DePuy total femur replacement <\/p>\n\n\n\n

    Rehabilitation <\/p>\n\n\n\n

    FWB + Knee ROM abduction pillow + Deroration boot for 6 weeks + sitting up till 60 degree <\/p>\n\n\n\n

    <\/p>\n\n\n\n

    <\/p>\n\n\n\n

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    Click here to get Reference<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

    Young girl aged nine years , presented with tender lower end of right femur : 4 months duration. Swelling observed since 15 days .  Clinical possibilities  Osteomyelitis  Osteogenic Sarcoma  Preoperative Imaging Heterogeneous mass arising from distal metaphysis of the right femur with a soft tissue component  Preoperative needle biopsy  High grade Osteogenic sarcoma  with a chondroblastic  differentiation…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12,1],"tags":[],"_links":{"self":[{"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/posts\/192"}],"collection":[{"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/comments?post=192"}],"version-history":[{"count":9,"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/posts\/192\/revisions"}],"predecessor-version":[{"id":219,"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/posts\/192\/revisions\/219"}],"wp:attachment":[{"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/media?parent=192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/categories?post=192"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drambarishpadhee.com\/blog\/wp-json\/wp\/v2\/tags?post=192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}